Vraylar (Cariprazine) prescription available online 

If you are suffering from certain psychiatric disorders, Vraylar can help. Get a new prescription or refill of Vraylar today from a board-certified doctor online.*

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Available in capsule form

Manage manic or mixed episodes

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*Prescriptions are provided at the doctor’s discretion. Learn more about our controlled substances policy and how you can save up to 80% with our prescription discount card.

About Vraylar 

Vraylar is considered an antipsychotic drug, which functions by makign certain alteration sto your brain chemistry. This helps to provide a reducation in certain symptoms, such as manic or mixed episodes, bipolar I disorder, and similar mental thealth conditions. Like any antipsychotic drugs, this medication can only be used for bipolar disorder, as well as manic or mixed episodes. It is ineffective against depression because it will not generally have an effect on specific neurotransmitters that are involved in the development of depressive symptoms.

Some conditions that Vraylar is known to treat include manic and mixed episodes, bipolar I disorder, and other psychotic conditions. These antipsychotic drugs are often also used in the treatment of schizophrenia. Vraylar is available only by prescription. The active ingredient that Vraylar uses is known as cariprazine. Note that Vraylar treatment is not available in a generic form.

Vraylar may be prescribed as a capsule. It’s always important to follow the specific instructions on your prescription, as they can vary based on the formulation and dosage that you are prescribed.

If you are prescribed Vraylar, be sure to complete the full course of the antipsychotic drugs unless your doctor specifically tells you to stop.

If you don’t complete your prescription, the antipsychotic drugs may not fully treat your mental illness

While the drug is useful for psychosis and mania, it is not advised for use in patients with dementia-related psychosis. There are certain adverse reactions that may occur in elderly patients who have dementia-related psychosis.

Vraylar uses

There are multiple FDA-approved uses for Vraylar, but it may also be used off-label to treat other conditions. Your online medical professional may prescribe it for any of the following common reasons. It’s also possible that your healthcare provider may prescribe it for other reasons not listed here. Ask your online doctor or pharmacist if you have questions about why a medication is prescribed.

  • Schizophrenia

    The FDA has approved the use of Vraylar treatment for patients with schizophrenia. This chronic condition does not call for acute treatment but rather a drug that can provide long-term treatment. Schizophrenia affects a patient's emotions, behavior, and the way they think. These individuals often struggle to differentiate between what is real and not. Both adults and elderly patients may see improvements in schizophrenia when they use these antipsychotic drugs. The medication may help to reduce the occurrence of manic or mixed episodes. People with a family history of schizophrenia are at an increased risk of these mental health conditions.

  • Bipolar I Disorder

    Different types of bipolar disorder can affect patients treated with antipsychotic drugs. Vraylar treatment may provide efficient results in people who have Bipolar disorder type 1. The medication is often used in young adults who have bipolar I disorder. In elderly patients with dementia-related psychosis and bipolar I disorder, this medication is generally not advised. The patient requires a complete fall risk assessment to ensure the medication would not lead to increased risk due to cognitive and motor impairment that sometimes occurs with drugs called antipsychotics. The patient may notice a clinically significant decline in symptoms when using these antipsychotic drugs for bipolar I disorder.

Vraylar side effects

  • The side effects associated with taking Vraylar are typically mild to moderate. Vraylar has some common side effects. They may include:

    • An upset stomach

    • Vomiting

    • Restlessness

    • Involuntary muscle movements

    • Drowsiness

    Other side effects, which are less common but might be more severe, could include:

    • Nervous System Reactions: There have been cases where people experience severe nervous system reactions when they use these antipsychotic drugs. This may also include cerebrovascular adverse reactions. Muscles may become very stiff. The patient may also experience sweating, fast heartbeats, confusion, a high fever, and tremors.

    • Low White Blood Cell: In some cases, you may experience low white blood cell count when you use this medication. This can weaken your immune system. In turn, you may experience chills, a fever, mouth sores, a sore throat, lightheadedness, and trouble breathing.

    • High Blood Sugar: These antipsychotic drugs can sometimes also interfere with blood sugar control. High blood sugar can cause several adverse reactions in the body. When these prescription drugs called antipsychotics cause high blood sugar, it can be especially dangerous for people who have diabetes mellitus.

    You should call your doctor if you notice any of these side effects or develop other new or concerning symptoms.

    The prescription drugs are not used in patients with dementia-related psychosis who have manic or mixed episodes. When these drugs are used to treat patients with dementia-related psychosis, there is an increased risk of severe side effects.

    Patients should also monitor their blood pressure while they use the medication. When blood pressure levels change due to the use of prescription drugs, the patient may also experience certain adverse reactions. High blood pressure can cause damage to arteries. High blood pressure may also lead to an increased risk of cardiovascular disease.

    Patients with late-occurring adverse reactions should also report these to their doctor when treating bipolar depression or bipolar I disorder.

    Some people who use Vraylar treatment for bipolar I disorder and manic or mixed episodes may experience some weight gain. There are several side effects of Vraylar that can cause weight gain in the patient. Be careful if you have diabetes mellitus, as weight gain may adversely affect this condition.

How to take Vraylar

Your pharmacist will provide you with instructions on how to take your Vraylar prescription.

Be sure to read your prescription label and follow the instructions. Call your doctor or pharmacy if you have any questions.

Vraylar can come in different forms and doses, so be sure to follow the specific instructions on your prescription. It is typically prescribed once per day. If you experience low blood pressure or dizziness from the medication, remain in a sitting or lying position for a while after taking the prescription drugs.

In some cases, you may use Vraylaor for a relatively brief treatment period. Your healthcare provider will consider the risk involved with both acute treatment and long-term treatment. They will consider the increased risk of potentially fatal symptom complexes in certain patients. The healthcare provider will also recommend a different acute treatment for elderly patients with dementia-related psychosis.

What to avoid while taking Vraylar

Vraylar has some dangerous drug interactions that patients need to be aware of. Don’t change what you are taking without checking with your doctor or pharmacist. That includes other medications or supplements, as well as over-the-counter drugs. 

It is important to tell your doctor about any other drugs you use when taking Vraylar. Do not take this medication with drugs that can also make you sleepy. This causes an increased risk of more serious drug interactions. There is also an increased risk of death and other serious side-effects if you take Vraylar with medications that slows breathing.

Ask your doctor or pharmacist if it is acceptable to consume alcohol while taking Vraylar. Alcohol is a type of central nervous system depressant. This may lead to more severe depressive episodes in people with bipolar depression. Worsening symptoms may also occur in bipolar i disorder, manic or mixed episodes, and other mental health conditions when Vraylar treatment is combined with alcohol usage.

Medication alternatives to Vraylar

If your healthcare provider prefers to put you on another treatment altogether, they may suggest antipsychotic drugs in another drug class. Here are some common doctor-recommended alternatives based on your health issue:

  • Dementia-Related Psychosis

    Patients with dementia-related psychosis may experience several unpleasant symptoms. The symptoms may develop due to the dementia that the patient has. Patients with dementia-related psychosis will not be treated with Vraylar as this is not an approved use for the medication. Instead, alternative drugs may help patients with dementia-related psychosis to experience improvements in their symptoms. The healthcare provider may also consider whether the elderly patients have bipolar I disorder or other mental health conditions as well. A complete fall risk assessment is also performed, and the patient may be advised to take the medication only when they sit down.

    Abilify (Aripiprazole)

    Quetiapine (Seroquel)

    Zyprexa (Olanzapine)

    Risperidone (Risperdal)

Vraylar prescription FAQs

  • How much does Vraylar cost?

    Numerous factors go into the pricing of Vraylar. Start with the dose that you are prescribed, as this is the major factor that affects the price. Another thing to consider is the pharmacy you use to pick up your prescription for Vraylar.

  • What can you not mix with Vraylar?

    Do not mix these atypical antipsychotics with other medications that also affect your brain chemistry. This may cause more severe depressive episodes. You should also avoid alcohol when you take the medication, as this may also lead to serious side effects of Vraylar.

  • Does Vraylar help immediately? 

    Vraylar is not a short-acting drug, so it is often not used in the acute treatment of depressive episodes or other immediate symptoms related to bipolar i disorder. Clinical trials generally show that patients experience improvements in symptoms after taking the medication for a couple of weeks. Even with a relatively brief treatment period, the patient may still need to take the drug for multiple weeks before they can see results.

  • What does Vraylar do to the brain?

    Vraylar essentially works on certain chemicals in the brain. By restoring a better balance in these chemicals, it is possible to experience improvements in bipolar i disorder symptoms, as well as schizophrenia.

  • How long does it take your body to get used to Vraylar?

    The side effects of Vraylar can remain persistent for the first few weeks after the patient starts to use the medication. The time it takes for patients to get used to the medication differs from one individual to another. There are also some patients who experience late-occurring adverse reactions.

  • How can I refill my Vraylar prescription?

    Simply keep your prescription with a specific pharmacy in your local area. This way, you can pick up your new refill every month without the need to constantly move to a different pharmacy.

  • Who should not take Vraylar?

    Do not take Vraylar to treat dementia-related psychosis. It is also essential to avoid Vraylar if you generally struggle with high blood sugar or have difficulty controlling your blood pressure levels.

  • What happens if I miss a dose of Vraylar?

    A missed dose can lead to new episodes of bipolar depression and related symptoms. Take the missed dose as soon as you remember, but not if it is almost time to take your next dose.

  • What happens if I take too much Vraylar?

    A high dose of Vraylar increases the risk of side effects. This may cause severe alterations to blood sugar and blood pressure. Some patients may also experience more severe bipolar depression or other symptoms of bipolar I disorder when taking too much medicine.

3 simple steps to request your Vraylar prescription today 

Step 1

Book a Vraylar prescription request appointment.

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Step 2

Talk to your medical provider regarding your Vraylar prescription.

Visit with a doctor on your smartphone or computer.

Step 3

Pick up your Vraylar prescription.

We can send prescriptions to any local pharmacy.

We accept these insurance plans and many more!

Most patients with in-network insurance pay $30 or less. Paying without insurance? New patient visits are $129, and follow-ups are only $99 for members.

Don’t see your provider listed? Email [email protected]  or call  (888) 564-4454  to talk to a PlushCare specialist.

Vraylar prescription pricing details

How pricing works

To get a new or refill on your Vraylar prescription, join our monthly membership and get discounted visits.

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Visit price with insurance

Often the same as an office visit. Most patients with in-network insurance pay $30 or less!

  • We accept these insurance plans and many more:

    • Humana
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Paying without insurance



First month free



30 days of free membership

  • Same-day appointments 7 days a week

  • Unlimited messages with your Care Team

  • Prescription discount card to save up to 80%

  • Exclusive discounts on lab tests

  • Free memberships for your family

  • Cancel anytime

Visit price without insurance

Initial visits are $129.

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PlushCare content is reviewed by MDs, PhDs, NPs, nutritionists, and other healthcare professionals. Learn more about our editorial standards and meet the medical team. The PlushCare site or any linked materials are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment.